Management of Wound Infection and Acute Bacterial Rhinosinusitis After Sinus Elevation Surgery: A Case Report

Overview

Journal Clin Adv Periodontics

Specialty Dentistry

Date 2020 Aug 4

PMID 32745378

Citations 1

Authors

Thomas M Johnson

Adam R Lincicum

Affiliations

Soon will be listed here.

Abstract

Introduction: Sinus graft infection with consequent acute bacterial rhinosinusitis (ABRS) is a complication that can occur during the postoperative period following sinus augmentation surgery. A small group of bacteria appear to predominate in ABRS, and these bacteria are empirically susceptible to tetracycline antibiotics, barring the presence of resistant strains. Historically, clinicians have mixed tetracycline with various biomaterials or hydrated biomaterials in a dilute tetracycline solution in the treatment of periodontal disease and for ridge preservation/augmentation indications.

Case Presentation: In the present case, a 39-year-old African-American male with sinus graft infection and signs and symptoms consistent with ABRS was successfully treated by removing the initial graft material, thoroughly debriding and irrigating the antrum, and placing a freeze-dried bone allograft hydrated in an aqueous tetracycline solution.

Conclusion: Given the typical bacteria present in ABRS, locally applied tetracycline may be useful prophylactically in sinus elevation surgery or as an adjunct in managing postoperative sinus graft infection.

Citing Articles

Management of Wound Infection and Acute Bacterial Rhinosinusitis After Sinus Elevation Surgery: A Case Report.

Johnson T, Lincicum A Clin Adv Periodontics. 2020; 8(2):54-60.

PMID: 32745378 PMC: 7162002. DOI: 10.1902/cap.2017.170039.

References

Iasella J, Greenwell H, Miller R, Hill M, Drisko C, Bohra A . Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 2003; 74(7):990-9. DOI: 10.1902/jop.2003.74.7.990. View

Katranji A, Fotek P, Wang H . Sinus augmentation complications: etiology and treatment. Implant Dent. 2008; 17(3):339-49. DOI: 10.1097/ID.0b013e3181815660. View

Williams Jr J, Aguilar C, Cornell J, Chiquette E, Makela M, Holleman D . Antibiotics for acute maxillary sinusitis. Cochrane Database Syst Rev. 2003; (2):CD000243. DOI: 10.1002/14651858.CD000243. View

Testori T, Drago L, Wallace S, Capelli M, Galli F, Zuffetti F . Prevention and treatment of postoperative infections after sinus elevation surgery: clinical consensus and recommendations. Int J Dent. 2012; 2012:365809. PMC: 3423929. DOI: 10.1155/2012/365809. View

Brook I . Aerobic and anaerobic bacterial flora of normal maxillary sinuses. Laryngoscope. 1981; 91(3):372-6. View

Evans G, Yukna R, Sepe W, Mabry T, Mayer E . Effect of various graft materials with tetracycline in localized juvenile periodontitis. J Periodontol. 1989; 60(9):491-7. DOI: 10.1902/jop.1989.60.9.491. View

Schwartz-Arad D, Herzberg R, Dolev E . The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol. 2004; 75(4):511-6. DOI: 10.1902/jop.2004.75.4.511. View

Timmenga N, Raghoebar G, BOERING G, van Weissenbruch R . Maxillary sinus function after sinus lifts for the insertion of dental implants. J Oral Maxillofac Surg. 1997; 55(9):936-9;discussion 940. DOI: 10.1016/s0278-2391(97)90063-x. View

Moreno Vazquez J, Gonzalez de Rivera A, Gil H, Mifsut R . Complication rate in 200 consecutive sinus lift procedures: guidelines for prevention and treatment. J Oral Maxillofac Surg. 2014; 72(5):892-901. DOI: 10.1016/j.joms.2013.11.023. View

10.

Wang H, Weber D, McCauley L . Effect of long-term oral bisphosphonates on implant wound healing: literature review and a case report. J Periodontol. 2007; 78(3):584-94. DOI: 10.1902/jop.2007.060239. View

11.

Khouly I, Phelan J, Munoz C, Froum S . Human Histologic and Radiographic Evidence of Bone Formation in a Previously Infected Maxillary Sinus Graft Following Debridement Without Regrafting: A Case Report. Int J Periodontics Restorative Dent. 2016; 36(5):723-9. DOI: 10.11607/prd.2409. View

12.

Johnson T, Lincicum A . Management of Wound Infection and Acute Bacterial Rhinosinusitis After Sinus Elevation Surgery: A Case Report. Clin Adv Periodontics. 2020; 8(2):54-60. PMC: 7162002. DOI: 10.1902/cap.2017.170039. View

13.

Barone A, Santini S, Sbordone L, Crespi R, Covani U . A clinical study of the outcomes and complications associated with maxillary sinus augmentation. Int J Oral Maxillofac Implants. 2006; 21(1):81-5. View

14.

Mellonig J, Griffiths G, Mathys E, Spitznagel Jr J . Treatment of the failing implant: case reports. Int J Periodontics Restorative Dent. 1995; 15(4):384-95. View

15.

Urban I, Nagursky H, Church C, Lozada J . Incidence, diagnosis, and treatment of sinus graft infection after sinus floor elevation: a clinical study. Int J Oral Maxillofac Implants. 2012; 27(2):449-57. View

16.

Harris R . Treatment of furcation defects with an allograft-alloplast-tetracycline composite bone graft combined with GTR: human histologic evaluation of a case report. Int J Periodontics Restorative Dent. 2002; 22(4):381-7. View

17.

Chow A, Benninger M, Brook I, Brozek J, Goldstein E, Hicks L . IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. 2012; 54(8):e72-e112. DOI: 10.1093/cid/cir1043. View

18.

Wikesjo U, Baker P, Christersson L, Genco R, Lyall R, Hic S . A biochemical approach to periodontal regeneration: tetracycline treatment conditions dentin surfaces. J Periodontal Res. 1986; 21(4):322-9. DOI: 10.1111/j.1600-0765.1986.tb01466.x. View